Organization
MEDSURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER GHATAN DO (MEDICAL DIRECTOR)
(855) 786-7846
Entity
Organization
Contact information
Practice address
99 N LA CIENEGA BLVD STE 109, BEVERLY HILLS, CA 90211-2286
(310) 683-7536
Mailing address
99 N LA CIENEGA BLVD STE 109, BEVERLY HILLS, CA 90211-2286
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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